Organization
CAPITAL ADVANCED WOUND CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALMAN ALY (AUTHORIZED OWNER)
(281) 703-9990
Entity
Organization
Contact information
Practice address
2011 FM 102 RD, WHARTON, TX 77488-8833
(979) 282-6151
(800) 559-8401
Mailing address
PO BOX 16639, SUGAR LAND, TX 77496-6639
(979) 282-6151
(800) 559-8401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394865501
—
TX
Enumeration date
10/01/2018
Last updated
05/04/2026
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